Individual
CHRISTOPHER GEORGE KACZEGOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1586 COUNTRY CLUB RD, MIDDLETOWN, CT 06457-2343
(203) 400-5390
Mailing address
1586 COUNTRY CLUB RD, MIDDLETOWN, CT 06457-2343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
181598
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14966
CT
Other
Enumeration date
10/17/2024
Last updated
06/26/2025
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